Provider Demographics
NPI:1225627425
Name:NATALIES HAIR SANCTUARY
Entity Type:Organization
Organization Name:NATALIES HAIR SANCTUARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADESANYA
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED LIFE COACH
Authorized Official - Phone:908-446-9208
Mailing Address - Street 1:1203 W SAINT GEORGES AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-6167
Mailing Address - Country:US
Mailing Address - Phone:908-525-3217
Mailing Address - Fax:
Practice Address - Street 1:1203 W SAINT GEORGES AVE STE 101
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-6167
Practice Address - Country:US
Practice Address - Phone:908-525-3217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No174200000XOther Service ProvidersMeals
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy